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Physiological basis of cardiopulmonary rehabilitation in patients with lung or heart disease.

Louvaris Z, Vogiatzis I - Breathe (Sheff) (2015)

Bottom Line: In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality.However, benefits gained from participation in cardiopulmonary rehabilitation programmes are regressing soon after the completion of these programmes.A potential solution to the underutilisation of cardiopulmonary rehabilitation is the implementation of tele-rehabilitation interventions at home using information and communications technologies.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Physical Education and Sports Sciences, National and Kapodistrian University of Athens, Athens, Greece.

ABSTRACT

Educational aims: To illustrate the common mechanisms limiting exercise tolerance in patients with chronic lung and heart diseaseTo highlight the impact of lung and heart disease on daily physical activity levelsTo outline the effects of cardiopulmonary rehabilitation on functional capacity in patients with chronic lung and heart diseaseTo discuss an innovative tele-rehabilitation intervention using information and communications technologies to improve functional capacity in patients with chronic lung and heart disease.

Summary: Shortness of breath associated with cardiorespiratory abnormalities and peripheral muscle discomfort are the major factors that limit exercise capacity in patients with chronic obstructive pulmonary disease (COPD) and those with congestive heart failure (CHF). Both of these symptoms negatively impact on patients' daily physical activity levels. In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality. Cardiopulmonary rehabilitation programmes partially reverse muscle weakness and dysfunction and increase functional capacity in both COPD and CHF. However, benefits gained from participation in cardiopulmonary rehabilitation programmes are regressing soon after the completion of these programmes. Moreover, several barriers limit access and uptake of cardiopulmonary rehabilitation programmes by eligible patients. A potential solution to the underutilisation of cardiopulmonary rehabilitation is the implementation of tele-rehabilitation interventions at home using information and communications technologies. Thus, tele-rehabilitation may be useful to encourage and educate patients with COPD or CHF on how best to maintain and/or further enhance daily physical activity levels.

No MeSH data available.


Related in: MedlinePlus

View of the Pulmonary Rehabilitation Unit at Athens University Medical School – First Department of Respiratory Medicine, Sotiria Hospital, showing necessary apparatus to administer hospital-based cardiopulmonary rehabilitation programmes.
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Figure 1: View of the Pulmonary Rehabilitation Unit at Athens University Medical School – First Department of Respiratory Medicine, Sotiria Hospital, showing necessary apparatus to administer hospital-based cardiopulmonary rehabilitation programmes.

Mentions: Physical exercise training is the cornerstone of any cardiopulmonary rehabilitation programme (table 2). Exercise training sessions may combine aerobic and resistance muscle training sessions. Aerobic exercise training can be either continuous or interval. In addition resistance training consists of arm, leg and trunk exercises (fig. 1) [17, 18, 33].Figure 1


Physiological basis of cardiopulmonary rehabilitation in patients with lung or heart disease.

Louvaris Z, Vogiatzis I - Breathe (Sheff) (2015)

View of the Pulmonary Rehabilitation Unit at Athens University Medical School – First Department of Respiratory Medicine, Sotiria Hospital, showing necessary apparatus to administer hospital-based cardiopulmonary rehabilitation programmes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4487369&req=5

Figure 1: View of the Pulmonary Rehabilitation Unit at Athens University Medical School – First Department of Respiratory Medicine, Sotiria Hospital, showing necessary apparatus to administer hospital-based cardiopulmonary rehabilitation programmes.
Mentions: Physical exercise training is the cornerstone of any cardiopulmonary rehabilitation programme (table 2). Exercise training sessions may combine aerobic and resistance muscle training sessions. Aerobic exercise training can be either continuous or interval. In addition resistance training consists of arm, leg and trunk exercises (fig. 1) [17, 18, 33].Figure 1

Bottom Line: In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality.However, benefits gained from participation in cardiopulmonary rehabilitation programmes are regressing soon after the completion of these programmes.A potential solution to the underutilisation of cardiopulmonary rehabilitation is the implementation of tele-rehabilitation interventions at home using information and communications technologies.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Physical Education and Sports Sciences, National and Kapodistrian University of Athens, Athens, Greece.

ABSTRACT

Educational aims: To illustrate the common mechanisms limiting exercise tolerance in patients with chronic lung and heart diseaseTo highlight the impact of lung and heart disease on daily physical activity levelsTo outline the effects of cardiopulmonary rehabilitation on functional capacity in patients with chronic lung and heart diseaseTo discuss an innovative tele-rehabilitation intervention using information and communications technologies to improve functional capacity in patients with chronic lung and heart disease.

Summary: Shortness of breath associated with cardiorespiratory abnormalities and peripheral muscle discomfort are the major factors that limit exercise capacity in patients with chronic obstructive pulmonary disease (COPD) and those with congestive heart failure (CHF). Both of these symptoms negatively impact on patients' daily physical activity levels. In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality. Cardiopulmonary rehabilitation programmes partially reverse muscle weakness and dysfunction and increase functional capacity in both COPD and CHF. However, benefits gained from participation in cardiopulmonary rehabilitation programmes are regressing soon after the completion of these programmes. Moreover, several barriers limit access and uptake of cardiopulmonary rehabilitation programmes by eligible patients. A potential solution to the underutilisation of cardiopulmonary rehabilitation is the implementation of tele-rehabilitation interventions at home using information and communications technologies. Thus, tele-rehabilitation may be useful to encourage and educate patients with COPD or CHF on how best to maintain and/or further enhance daily physical activity levels.

No MeSH data available.


Related in: MedlinePlus